Dena J Spencer, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Practice address

534 Main St
West Chicago, IL 60185-2843

Phone

(630) 876-9200

Fax

(630) 876-9201

NPI assigned

Mar 14, 2008

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Gateway Dental Centre, P.C.

  • Dental Clinic/Center
  • West Chicago, IL
  • NPI 1730288242
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1205452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205452800000",
    "number": "1326219684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "534 MAIN ST",
            "city": "WEST CHICAGO",
            "state": "IL",
            "postal_code": "601852843",
            "telephone_number": "630-876-9200",
            "fax_number": "630-876-9201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "534 MAIN ST",
            "city": "WEST CHICAGO",
            "state": "IL",
            "postal_code": "601852843",
            "telephone_number": "630-876-9200",
            "fax_number": "630-876-9201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "DENA",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-14",
        "last_updated": "2008-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9176645",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ellen Marie Shwatal, MS, MSPH
• Joanne Siar, RN
• Smile View Dental
• Richard Gerard Smith, D.D.S.
• Michael Sotelo
• Srde
• Jennifer Joy Steininger, MPT
• Robert Strauch
• Veronica Switzer-Poplar, PA-C
• Taag Genetics Corp.

• General Practice Dentistry in West Chicago, IL
• Providers in West Chicago, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.